XI Lei,XIA De-hong,SHEN Wei-sheng,ZHOU Jian-bo,SHU Zhong-qin,YU Bo,HOU Xin-heng,WANG Ke.Intervention of Astragalus membranaceus on radioactive lung injuries and influence on TNF-α and ET expression[J].Chinese Journal of Radiological Medicine and Protection,2010,30(3):327-329
Intervention of Astragalus membranaceus on radioactive lung injuries and influence on TNF-α and ET expression
Received:July 07, 2009  
DOI:10.3760/cma.j.issn.0254-5098.2010.03.026
KeyWords:Radiotherapy  Astragalus membranaceus  Lung injuries  Radioprotection  TNF-α  Endothelin
FundProject:江苏省中医药局中医药科研项目(HZ07092)
Author NameAffiliation
XI Lei Jiangyin Hospital of Medical College, Southeast University, Jiangyin 214400, China  
XIA De-hong Jiangyin Hospital of Medical College, Southeast University, Jiangyin 214400, China  
SHEN Wei-sheng Jiangyin Hospital of Medical College, Southeast University, Jiangyin 214400, China  
ZHOU Jian-bo Jiangyin Hospital of Medical College, Southeast University, Jiangyin 214400, China  
SHU Zhong-qin Jiangyin Hospital of Medical College, Southeast University, Jiangyin 214400, China  
YU Bo Jiangyin Hospital of Medical College, Southeast University, Jiangyin 214400, China  
HOU Xin-heng Jiangyin Hospital of Medical College, Southeast University, Jiangyin 214400, China  
WANG Ke Jiangyin Hospital of Medical College, Southeast University, Jiangyin 214400, China  
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Abstract::
      Objective To observe the lung protection of Astragalus membranaceus against radiotherapy to intermediate-stage and terminal thoracic neoplasm, and its influence on TNF-α and ET expression.Methods The patients with intermediate-stage and terminal thoracic neoplasm under radiotherapy were divided into a treatment group and a control group. Patients in the treatment group took 10 ml of Asragalus membranaceus twice a day, for consecutive 6 months from the beginning of radio therapy. TNF-α and ET in the plasma were measured before and after the radiotherapy. The clinical symptom, iconographic changes and lung diffusion were observed from the 15th day of radiotherapy. Results The TNF-α and ET in plasma after the radiotherapy were (2.48±0.75) ng/ml and (69.32±23.03) pg/ml for the treatment group, and (5.12±1.01) ng/ml and (97.87±37.83) pg/ml for the control group with the statistial difference (=7.49,6.57,P<0.001). The decrease of CO diffusion 5 and 10 months after the radiotherapy in the treatment group was statistically different compared with that in the control group (=3.98,3.78,P<0.05). There was a statistical difference of the incidence of acute radiation pneumonitis and pulmonary fibrosis between these two groups (P<0.05).Conclusions Astragalus membranaceus could inhibit the excess expression of TNF-α and ET in plasma and reduce the deterioration of diffusion after radiotherapy, so that it can be used for intervention of lung injuries from radiotherapy.
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